PDF(Pubmed)
Abstract：
Pasteurization of raw milk is mandatory before sale in Canada and has been demonstrated to reduce the risk of food-borne illness associated with milk consumption. Consumption of raw milk sparks urgent concern from a public health perspective since it has been linked to numerous outbreaks by enteric organisms, particularly Escherichia coli-related illnesses and complications in pediatric populations. The sale and distribution of raw milk is illegal in Canada, based on these significant health risks, but growing popular interest and trends in consuming raw dairy products reflect changes in consumer preferences. Although the consumption of raw milk has been an ongoing issue, this new trend is alarming and action is needed to prevent serious consequences as seen in children and other populations with reduced immunity such as the elderly and pregnant people. This commentary explores key issues identified by a local public health unit during the investigation of a recent paediatric case of hemolytic uremic syndrome related to an E. coli O157:H7 infection that occurred within the context of consumption of raw milk. The main objective of this article is to highlight that the health risks and sequelae associated with consumption of raw milk far outweigh any potential benefits, with severe consequences particularly among children. Data and health impacts, distribution, regulation, pasteurization and proposed practice recommendations are also identified and discussed.
摘要：
在加拿大，原奶在销售前必须进行巴氏杀菌，并已被证明可以降低与牛奶消费相关的食源性疾病的风险。从公共卫生的角度来看，原料奶的消费引发了紧急关注，因为它与肠道生物的多次爆发有关，特别是儿科人群中与大肠杆菌相关的疾病和并发症。在加拿大，原奶的销售和分销是非法的，基于这些重大的健康风险，但是人们对消费原料乳制品日益增长的兴趣和趋势反映了消费者偏好的变化。尽管原奶的消费一直是一个持续的问题，这一新趋势令人震惊，需要采取行动防止儿童和其他免疫力下降的人群如老年人和孕妇出现严重后果。本评论探讨了当地公共卫生部门在调查最近一例溶血性尿毒症综合征的儿科病例时发现的关键问题，该病例与食用原料奶的情况下发生的大肠杆菌O157：H7感染有关。本文的主要目的是强调与食用原料奶相关的健康风险和后遗症远远超过任何潜在的好处，严重的后果，尤其是儿童。数据和健康影响，分布，regulation,还确定并讨论了巴氏杀菌和拟议的实践建议。
